US · guidance
CMS Pub. 100-04, ch. 1, § 30.1.3
Provider Treatment of Beneficiaries
In the agreement between CMS and a provider, the provider agrees to accept Medicare
beneficiaries for care and treatment. The provider cannot impose any limitations with
respect to care and treatment of Medicare beneficiaries that it does not also impose on all
other persons seeking care and treatment. If the provider does not furnish treatment for
certain illnesses and conditions to patients who are not Medicare beneficiaries, it need not
furnish such treatment to Medicare beneficiaries in order to participate in the Medicare
program. It may not, however, refuse to furnish treatment for certain illnesses or
conditions to Medicare beneficiaries if it furnishes such treatment to others. Failure to
abide by this rule is a cause for termination of the provider’s agreement to participate in
the Medicare program (see the regulations at 42 CFR 489.53(a)(2), and also see Pub.
100-01, Medicare General Information, Eligibility, and Entitlement Manual, chapter 5,
§10.2).
History
(Rev.4163, Issued: 11-02-18, Effective: 12-04-18, Implementation: 12-04-18)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
745966205d03eb0ee62f2efc68494b13282402c8955f442ac6d3d1f66a2eb2b4
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